How are you choosing between Xolair, Dupixent or Rhapsido for patients with CSU?

Patient choice, many patients prefer a monthly shot as opposed to BOD meds every day or even q 2 weeks shot; also, co-morbidities--FA, eczema...

We have a lot of experience with Xolair, and it remains my first choice.

Dupixent has also been effective.

I generally leave Rhapsido as a third choice, mostly due to my hesitancy to use BTK inhibitors due to the history of off-site actions. However, I have used it, and it is effective.